Provider Demographics
NPI:1790260164
Name:BORMAN, BRANDY LAUREN (CRNP)
Entity type:Individual
Prefix:
First Name:BRANDY
Middle Name:LAUREN
Last Name:BORMAN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:BRANDY
Other - Middle Name:
Other - Last Name:SHAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1861 POWDER MILL RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4723
Mailing Address - Country:US
Mailing Address - Phone:717-718-2041
Mailing Address - Fax:717-747-2102
Practice Address - Street 1:1861 POWDER MILL RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4723
Practice Address - Country:US
Practice Address - Phone:717-718-2000
Practice Address - Fax:717-718-3460
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2025-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP019343363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily